EDWARD JAMES TANNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147391

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

JAMES

Last Name

TANNER

Business Name

EDWARD JAMES TANNER MD

Original Issue Date

09/06/2018

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

ADAMS

Ever Disciplined

LastModifiedDate

09/02/2023